Home Health Line
04/18/2016
by: HHL’s ICD-10 Impact Survey
About 52% of respondents to a question on HHL’s ICD-10 Impact Survey said they have spent less than $2,500 on ICD-10 training and education.
04/15/2016
A first look at ICD-10 code use reveals subcategories R26- (Abnormalities of gait and mobility) and M25- (Other joint disorder, not elsewhere classified) are among the most profitable. But agencies should use these codes with caution to avoid an increased risk for auditor scrutiny and potential denials.
04/11/2016
Start working with software vendors and clinicians to prepare for the release of the final OASIS-C2 document. CMS announced April 1 the start of the 60-day public comment period and its request for approval by the Office of Management and Budget. Comments are due by May 31.
04/11/2016
Significantly beef up documentation your hospice puts in a patient’s medical record about why the patient requires general inpatient (GIP) care — and why, day after day, the patient remains eligible for GIP care.
04/11/2016
The ability of whistleblowers to accuse home health agencies, hospices and other providers of Medicare fraud under the False Claims Act would be seriously weakened, if not eliminated, unless a March 31 decision by a federal district court judge in Alabama is reversed, attorneys representing whistleblowers say.
04/11/2016
Communicate to your patient’s referring physician a supplemental explanation of your agency’s conclusion that the patient is eligible and services are needed. The physician would sign and date the supplemental documentation and adopt it into the patient’s record. 
04/11/2016
As the home health industry makes a shift toward value-based purchasing, agencies that wish to stay competitive have to consider updating their job descriptions for quality managers as they seek qualified candidates for this important position.
04/11/2016
The roles of quality improvement (QI) managers and clinical supervisors have taken on increased importance during the transition to ICD-10, the launch of 5-star ratings and the adjustment to the new value-based purchasing model.
04/08/2016
After your agency learns the results of the five claims selected for CMS’ home health “probe and educate” review, it should take the time to participate in a one-on-one phone call with its Medicare Administrative Contractor (MAC) to discuss the review’s findings. Doing so will allow your agency to receive more feedback about why the MAC denied your claims.
04/05/2016
by: OCS HomeCare, now a part of the ABILITY Network
459 (Other disorders of circulatory system) was the least profitable ICD-10 subcategory in the first three quarters of 2015. That’s according to an OCS HomeCare analysis of assessments conducted by more than 1,800 provider locations nationwide.

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